Active NPI
Carly Kessenich
- School Psychologist
- Los Alamitos, CA
National Provider Identifier
1861316614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 230029281
- Practice address
- 10293 Bloomfield St
Los Alamitos, CA 90720-2264 - Phone
- (562) 799-4520
- NPI assigned
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 230029281 | CA | Primary |
Addresses
Primary practice location
10293 Bloomfield St
Los Alamitos, CA 90720-2264
Mailing address
10293 Bloomfield St
Los Alamitos, CA 90720-2264
Phone (562) 799-4520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1861316614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10293 BLOOMFIELD ST",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202264",
"telephone_number": "562-799-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10293 BLOOMFIELD ST",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202264",
"telephone_number": "562-799-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSENICH",
"first_name": "CARLY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "230029281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.